CANDIDATE
INSTRUCTIONS
Appropriate Dress for Candidate is Black Tuxedo, Plain White Tuxedo Pleated Shirt (with lay down collar - NO wing tips allowed), Black Bow Tie, Black Shoes, Black Socks, Black Cummerbund.
Candidate will receive his Social Baldric and Fourth Degree pin in the Anti-Chamber after registering with the District Secretary.
Clergy to wear their “Blacks” or cassock.
Active Duty Military may wear their Class A or Dress Uniform instead of the Black Tuxedo. You also have an option of not wearing the baldric with your dress uniform.
I fully understand the above requirements and must be in the appropriate dress to be eligible to take my Fourth Degree.
I am to report to the District Secretary’s Desk no later than 45 minutes prior to the published start time of the Exemplification.
Print Full Name of Candidate
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Signature of
Candidate
Date
Please indicate whether you are
staying for banquet
YES NO
ASSEMBLY OFFICERS:
THIS FORM MUST BE ATTACHED TO
CANDIDATE'S FORM FOUR FOR